Prescott Resort and Conference Center Credit Card Authorization Group Name/Function: Ba th da. art Unde rersan Cordholder's Name: Linda “D, 0 Event Arrival Date:_“T = 13 — AOI 4~ Today's Date:_ 5 - Bl- QoQ Authorized Charges —_ Room & Tax xX Foad & Beverage ZX. incidental Charges Audio Visual XX. Meeting Room Rental/Setup Foe XX. other (e.g. Deposit)! ‘agree to cover the above categories of charges up to a Maximum Amount of s too0.00 Type of Credit Card (please circle): Visa Mastercard American Express Discover NameotCroitcadnoider inde Es. Merherson Credit Card Number:__“HIFT 2030 4823S FTI Expiration Date:__ ©] cev Oo Contact Phone Number: lok AIS-Bqu Please enclase a legible photocopy of Card Holder 1D and credit card, ‘The undersigned hereby authorizes all charges as identified abave and, per the executed contract, to be guaranteed for payment on the above credit card. in-the event an alternate Payment is not presented at the conclusion of the event/stay, all chatyes are to be processed to this credit card to satisfy the obligation to the Prescott Resort and Conference Center, abd. Du binde. DB. on Card Holder Signature Print nameas it appears on card ‘Thank you for choosing the Prascatt Resort and Conference Center! We look forward ta having you as our guest! Please email Authorization Form to: catering@prescottresort.com:1S x Ga3SVH3Prescott Resort and Conference Center Tromth of ihe maximum amount allowed by law, whichever is less, Charges can be paid by credit card Prescott Resort accepts American Express, Diners Club, Discover Card, JCB Intemational, Mester Cand or isa Allestimated master account charges willbe charged no later than five (5) business days prio lo the event. * Please indicate below how you wish to handle the master account charges: I would like to pre-pay (_ ) by contified check {by Bank check face asnean Cancellation: The rales offered by us are based in part upon the total gross revenues anticipated by us ftom your agreement fo use and pay for the roams and events set forth in this Agreement. You guarantee tat your Event wil provide: the Total Minimum Anticipated Revenue. You agree and understand thal, in tie event of cancellation or lack of full performance ty you, our actual damages would be dificult tg etermine. Therefore, you saree that should you eancel your Event for any reason, including changing your meetngiTunction sia ta another hotel, you wil pay as Bquidated damages, plus any applicable state ardor focal taxes as required by law, to the Hotal immesiately upon notce of cancellation a percentage o! Total Minimum Anticipated Revenue-for your Event, as follows: Percentage of Total aaneatar Dato of Hotels Receipt of Cancellation Notice | Minimum Anticipated Gancellation Damages Revenue Owed ‘Owed ‘Bate of Signatune to day of event 75% $4,312.50 Hore! may, In its Sole discretion, cansider your notice of Cancellation ta be Invalid and Thus may not release accommodations held unti! payment of the cancellation damages is received; therefore olay in payment may result in higher cancellation damages owed. Total Anticipated Revenue: $1,750.00 Impossibility: The Performance of this Agreement is subject fo termination withoul abilly upsn the Cocurrence of any cireumstances beyond the control of either party — such as acts of God, war. acts of \erorism, govemment regulations, disaster, strikes, civ! disorder, of curtailment of transportation faclitios ~ te the extent that Such circumstance makes i ilegal ar impossitie for the Hotel fo provide, or for groups in general ta use, the Hotel facilities. The abilly tn terminate this agreement without Babilty pursuant io {his paragraph is concitioned upon delivery af wiitfen notice to other party setting forth the basis for such ‘eauntion 2s scon as reasonably practical but in no event longer than ten (70} days - after learning of such basis, provision of services or the use of the Resor faciities, except to the extent and percentage altrbutable to {he Group's o members’, agents’, employees’, or exhibitors’ negligence. The Resort shall not have waived or be deemed to have waived by reason ofthis paragraph, any defense which it may have with respect to such claims. Page SofPreseott Resortand Conference Center Linda McPherson Prescott Resort and Conference Center By. Name Le rndew McPherson. Name: ___ Stacey Rathbone tte Cheat Aves Tite: Satering & Event Manager bate = Sl- 3024 Date: = Page S ofS